Texas Medicaid Programs
Texas Medicaid and CHIP are administered by the Texas Health and Human Services Commission (HHSC). Texas has not expanded Medicaid to all low-income adults — eligibility categories are narrower than many states.
Texas Medicaid
Check current income limits on HHSC site — thresholds update annually.
What it provides: Comprehensive health coverage for eligible low-income children, pregnant women, seniors, and people with disabilities.
Assistance: Doctor visits, hospital care, prescriptions, and long-term care for qualifying categories.
Eligibility: Texas has not adopted full ACA Medicaid expansion — many low-income adults without children may not qualify.
Who may qualify:
- Children in low-income families
- Pregnant women meeting income limits
- Seniors and people with disabilities receiving SSI
- Parents and caretakers (limited income thresholds)
Requirements:
- Apply at YourTexasBenefits.com
- Proof of identity, income, and Texas residency
How to apply: Apply online, by phone (2-1-1), or at local HHSC office. Renewal required periodically.
Official source: Texas HHS — Medicaid
Texas STAR Medicaid Managed Care
Keep renewal notices — Texas periodically reviews eligibility.
What it provides: Most Texas Medicaid recipients enroll in STAR or STAR+PLUS plans through private managed care organizations.
Assistance: Same Medicaid benefits delivered through MCO networks (Molina, Superior, UnitedHealthcare, etc.).
Eligibility: Plan assignment by county; change during open enrollment or qualifying events.
Who may qualify:
- Approved Texas Medicaid beneficiaries in STAR service areas
Requirements:
- Select primary care provider in plan network
- Use plan for prior authorizations
How to apply: After Medicaid approval, choose plan at YourTexasBenefits.com or by mail.
Official source: Texas HHS — Managed Care
Medicaid for Breast and Cervical Cancer (MBCC)
Critical safety net for uninsured Texas women needing cancer treatment.
What it provides: Full Medicaid benefits for uninsured Texas women diagnosed with breast or cervical cancer through screening program.
Assistance: Treatment coverage during active cancer care period.
Eligibility: Must need treatment for breast or cervical cancer.
Who may qualify:
- Women diagnosed through National Breast and Cervical Cancer Early Detection Program
- Income at or below 200% FPL
Requirements:
- Referral from participating clinic
- Application through HHSC
How to apply: Contact Texas DSHS breast/cervical cancer services for screening and MBCC referral.
Official source: Texas DSHS — Breast & Cervical Cancer Services